Nation, Neal Jared

Nation, Neal Jared is an individual health care provider with primary practice located at 6750 N 19Th Ave , Phoenix AZ 85015-1127. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Nation, Neal Jared can be contacted via phone (602) 242-5741.

Contact Information

Primary practice address
6750 N 19Th Ave Phoenix AZ 85015-1127
Phone: (602) 242-5741
Fax: (602) 242-5742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6299 Arizona

Profile Details

NPI number 1639152184
LBN Legal business name Nation, Neal Jared
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639152184 NPPES
Arizona Other 6299 STATE LICENSE
Arizona MEDICAID 884107 STATE LICENSE

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